Use of diagnostic or procedure codes

Sec. 11.2. (a) Not more than ninety (90) days after the date of the version specified in IC 27-1-1.5 of a diagnostic or procedure code described in this subsection: (1) the association shall begin using the version specified in IC 27-1-1.5 of the: (A) Current Procedural Terminology (CPT); (B) International Classification of Diseases (ICD); (C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM); (D) Current Dental Terminology (CDT); (E) Healthcare Common Procedure Coding System (HCPCS); and (F) third party administrator (TPA); codes under which the association pays claims for services provided under an association policy; and (2) a health care provider shall begin using the version specified in IC 27-1-1.5 of the: (A) Current Procedural Terminology (CPT); (B) International Classification of Diseases (ICD); (C) American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM); (D) Current Dental Terminology (CDT); (E) Healthcare Common Procedure Coding System (HCPCS); and (F) third party administrator (TPA); codes under which the health care provider submits claims for payment for services provided under an association policy. (b) If a health care provider provides services that are covered under an association policy: (1) after the date of the version specified in IC 27-1-1.5 of a diagnostic or procedure code described in subsection (a); and (2) before the association begins using the version of the diagnostic or procedure code; the association shall reimburse the health care provider under the version of the diagnostic or procedure code that was specified in IC 27-1-1.5 on the date that the services were provided. As added by P.L.161-2001, SEC.3. Amended by P.L.66-2002, SEC.15; P.L.124-2018, SEC.78.